0505T — Ev Fempop Artl Revsc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EV FEMPOP ARTL REVSC (CPT 0505T) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0505T?code_type=CPT
MLA (9th ed.)
“EV FEMPOP ARTL REVSC (CPT 0505T) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0505T?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“EV FEMPOP ARTL REVSC (CPT 0505T) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0505T?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,513–$19,145 (25th–75th percentile) across 934 hospitals · 1,606 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 0505T — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| CITIZENS BAPTIST MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | — | — | — | $66.91 | $65.57 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER Both | — | — | — | $80.30 | $78.69 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | — | — | — | $83.78 | $82.10 | 2025-11-05 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $52,768.00 | $34,299.20 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | VISTA | COVENTRY MEDICAID | $173.17 | $52,768.00 | $34,299.20 | 2026-03-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $218.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $218.52 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $218.52 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $250.43 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $250.43 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $250.43 | — | — | 2026-03-18 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Alohacare | Medicaid | $257.71 | $19,252.00 | $13,476.40 | 2026-07-15 | MRF ↗ |
| The Queen's Medical Center Outpatient | Alohacare | Medicaid | $257.71 | $19,252.00 | $13,476.40 | 2026-07-15 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $272.67 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $272.67 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $272.67 | — | — | 2026-03-18 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | Premier | $300.00 | $23,294.46 | $23,294.46 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | Premier | $300.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Preferred | $340.00 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Preferred | $340.00 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | — | $340.00 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Cigna | — | $340.00 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | — | $340.00 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Cigna | Assurant | $340.00 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Cigna | — | $340.00 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Cigna | Assurant | $340.00 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $352.70 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Blue Shield | Medicare Managed Care Plan | $353.00 | — | — | 2026-04-01 | MRF ↗ |
| Tobey Hospital Outpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $411.86 | $41,993.00 | $20,996.50 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Outpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $411.86 | $41,993.00 | $20,996.50 | 2025-12-15 | MRF ↗ |
| ST LUKE'S HOSPITAL Outpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $411.86 | $41,993.00 | $20,996.50 | 2025-12-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $414.23 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $414.23 | — | — | 2026-05-24 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $13,792.00 | $6,206.40 | 2026-03-13 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Employee Health Plan | Employee Health Plan | $446.95 | $937.00 | $937.00 | 2026-07-20 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $23,294.46 | $23,294.46 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | PremierPlus | $500.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| DEACONESS HOSPITAL INC OutpatientFacility | Aetna | Commercial | $509.67 | — | — | 2026-02-11 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $525.00 | — | — | 2025-06-26 | MRF ↗ |
| MEDINA REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $525.00 | — | — | 2025-06-26 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Managed Medicaid | $555.05 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Managed Medicaid | $555.05 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $557.65 | $13,381.90 | $6,691.00 | 2025-12-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $559.66 | — | — | 2025-10-24 | MRF ↗ |
| Utmb Galveston Transplant Inpatient | Humana | Medicare | $560.31 | $3,344.00 | $1,371.04 | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Self-Pay(Using Community Rates) | Self-Pay(Using Community Rates) | $562.20 | $937.00 | $937.00 | 2026-07-20 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Commercial | $563.67 | — | — | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $567.82 | $937.00 | $937.00 | 2026-07-20 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Aetna | Aetna | $567.82 | $937.00 | $937.00 | 2026-08-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $29,872.00 | $13,442.40 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield of California | EPN | $570.02 | $29,872.00 | $13,442.40 | 2026-02-19 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $570.79 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $580.07 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $580.07 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $580.07 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Humana | HMO/PPO | $580.07 | — | — | 2025-10-24 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $586.13 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $586.50 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $586.50 | — | — | 2026-05-14 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $593.00 | — | — | 2026-04-01 | MRF ↗ |
| The Queen's Medical Center Outpatient | Hmsa | Medicaid | $593.48 | $19,252.00 | $13,476.40 | 2026-07-15 | MRF ↗ |
| THE QUEENS MEDICAL CENTER Outpatient | Hmsa | Medicaid | $593.48 | $19,252.00 | $13,476.40 | 2026-07-15 | MRF ↗ |
| NORTH HAWAII COMMUNITY HOSPITAL, INC Outpatient | Hmsa | Medicaid | $593.48 | $14,834.00 | $10,383.80 | 2026-07-15 | MRF ↗ |
| Wahiawa General Hospital Outpatient | Hmsa | Medicaid | $593.48 | $19,252.00 | $13,476.40 | 2026-07-15 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $23,294.46 | $23,294.46 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Texas Athletic Network | TexasCustomUC | $600.00 | $45,845.81 | $45,845.81 | 2026-03-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $602.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $605.16 | — | — | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $607.53 | — | — | 2026-03-18 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $621.35 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $621.35 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $621.35 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $621.35 | — | — | 2026-05-24 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPN | $639.21 | $24,677.00 | $11,104.65 | 2026-02-19 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $652.70 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| RIVER HOSPITAL CLINICS OutpatientFacility | Geisinger | Commercial | $652.99 | — | — | 2025-06-20 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Medicare Advantage | $652.99 | — | — | 2026-07-18 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Healthy New York | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Medicare | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Univera | Univera Commercial | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| CANONSBURG GENERAL HOSPITAL Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $652.99 | $1,658.00 | $364.76 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Univera | Univera Essential Plan | $652.99 | — | — | 2026-04-14 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $662.94 | $36,025.00 | $15,000.00 | 2026-07-17 | MRF ↗ |
| Uw Health Rehabilitation Hospital Outpatient | Blue Shield | Blue Shield Hmo | $662.94 | $36,025.00 | $15,000.00 | 2026-07-17 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $662.94 | $36,025.00 | $15,000.00 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Medicare Advantage - Dhp | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage - Dhp | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage - Dhp | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Va Community Care Network - Dhps | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $679.44 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage - Dhp | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $679.44 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Medicare Advantage - Dhp | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Va Community Care Network - Dhpn | $679.44 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $679.44 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $679.44 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Fidelis | Essential Plans 1-4 | $685.64 | — | — | 2026-07-18 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Medicare Advantage | $685.65 | $400.00 | $200.00 | 2026-07-17 | MRF ↗ |
| BASSETT HEALTHCARE Inpatient | Mvp | Medicare Advantage | $685.65 | $2,000.00 | $1,000.00 | 2026-07-17 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $686.63 | — | — | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $690.39 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $690.39 | — | — | 2026-05-24 | MRF ↗ |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL OutpatientFacility | Blue Shield | Epn Exchange | $691.00 | — | — | 2026-04-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield | Blue Shield Hmo | $694.32 | $937.00 | $937.00 | 2026-08-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Shield Hmo | Blue Shield Hmo | $694.32 | $937.00 | $937.00 | 2026-07-20 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $699.82 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $699.82 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $699.82 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $699.82 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Medicare Advantage - Dhp | $699.82 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage - Dhp | $699.82 | — | — | 2026-07-18 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $702.75 | $937.00 | $937.00 | 2026-08-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Cigna Hmo | Cigna Hmo | $702.75 | $937.00 | $937.00 | 2026-07-20 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $703.38 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage - Dhp | $706.61 | — | — | 2026-07-18 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $710.63 | — | — | 2026-07-15 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $713.41 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange Behavioral Health - Dhp | $713.41 | — | — | 2026-07-18 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.